GBK-33186-28020
2 vaccinations
8 coded responses
21 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 759 / TX
- Registered
- 2021-10-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-10-25
Registered in v-safe
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2021-10-25
Dose 1 — Moderna
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2021-10-25
Survey response — day 0, dose 1MedDRA: Ear pain, Oropharyngeal pain — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Ear ache , sore throatMedDRA releases: 2024-11 · check-in free text available
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2021-10-26
Survey response — days 1–6 daily, dose 1MedDRA: Ear pain — Feeling: Fair · Site: Pain, Redness · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Ear acheMedDRA releases: 2024-11 · check-in free text available
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2021-10-27
Survey response — days 1–6 daily, dose 1MedDRA: Ear pain — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Ear acheMedDRA releases: 2024-11 · check-in free text available
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2021-10-28
Survey response — days 1–6 daily, dose 1MedDRA: Ear pain — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Ear acheMedDRA releases: 2024-11 · check-in free text available
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2021-10-29
Survey response — days 1–6 daily, dose 1MedDRA: Ear pain — Feeling: Fair · Headache · Be unable to do your normal daily activitiesFree text: EaracheMedDRA releases: 2024-11 · check-in free text available
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2021-10-30
Survey response — days 1–6 daily, dose 1MedDRA: Ear infection, Sinusitis — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Ear infection and sinus infectionMedDRA releases: 2024-11 · check-in free text available
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2021-10-31
Survey response — days 1–6 daily, dose 1MedDRA: Ear pain, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Ear ache · Healthcare visit (other): Doctor appointmentMedDRA releases: 2024-11 · check-in free text available
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2021-10-31
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-11-02
- 2021-11-03
- 2021-11-08
- 2021-11-17
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2021-11-22
Dose 2 — Moderna
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2021-11-24
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-25
- 2021-11-26
- 2021-11-27
- 2021-11-29
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2021-12-06
Survey response — day 14, dose 2MedDRA: Oropharyngeal pain, Pain — Feeling: GoodFree text: Sore throat, Body achesMedDRA releases: 2024-11 · check-in free text available
- 2021-12-13
- 2021-12-20
- 2021-12-29
- 2022-02-21
- 2022-05-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-10-25 | Moderna | No |
| 2 | 2021-11-22 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 10 — day 0, dose 1
Systemic reaction (other): Ear ache , sore throat
Release 10 — days 1–6 daily, dose 1
Systemic reaction (other): Ear ache
Systemic reaction (other): Ear ache
Systemic reaction (other): Ear ache
Systemic reaction (other): Earache
Systemic reaction (other): Ear infection and sinus infection
Release 10 — day 14, dose 2
Symptoms: Sore throat, Body aches
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SRO | Ear infection | · | · | ✓ |
| SRO | Ear pain | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Sinusitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release